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The failure of spinal anesthesia is one of the most frustrating moments for anesthesiologists
.
The critical step cannot be completed, which directly affects the follow-up operation.
At this time, the anesthesiologist in charge is under great pressure and needs to endure the strange look from the nurses and doctors;
What's more, it is a cesarean section.
It is impossible to choose general anesthesia directly, and the pressure is greater.
The friends on the overnight shift have a deep understanding
.
Intraspinal puncture is a hurdle that the anesthesiologist must pass, and it is also a technique that the resident doctors are more afraid of.
Sometimes whether the cerebrospinal fluid can be punctured is completely dependent on luck;
But any technology will have specifications and skills.
I always feel that no matter whether the puncture is successful or not, as a resident, it must be standardized.
The standard operating procedure is half the success.
Even if it is still unsuccessful, it may not be effective for another person
.
Of course, senior doctors have some of their own operating details that can improve the success rate, but this is also to be studied after you have fully mastered the basic operating specifications
.
The operating specifications include sedation, posture, positioning, disinfection, manipulation, etc.
, which will not be repeated in this article
.
The epidural puncture is often in place, but the cerebrospinal fluid cannot be penetrated by the insertion of a spinal needle.
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It is no exaggeration to say that any anesthesiologist has experienced spinal anesthesia puncture is not smooth, this is very normal!
I still remember that when I first started working, four consecutive knee arthroscopy patients were unsuccessful in the puncture.
After conscientiously summarizing and reviewing every detail of the puncture, there will be a qualitative change
"Patient is the most important" is always the first.
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